Should members of only one household be registered with only one EPS?

On February 13, the National Government filed before Congress its health reform project. With several points that raised doubts, one stood out for its particularity: that all household members must be affiliated with the same EPS.

(Read: Health reform: reactions to the project filed by the Government).

“The Ministry of Health and Social Protection will progressively advance a process of territorialization of the EPS, concentrating its operation in the cities and departments where they have the largest number of affiliates and the greatest organization of the provision of services, freeing them from geographical dispersion, to harmonize them with the territorialization of the new Health Systemsays the project.

In this sense, the reform proposes the following rules that would come into force if approved by Congress:

1. For each household all its members they must be members of the same Health Promotion Entity.

2. In a territory where there is only one Health Promotion Entity, this may not reject the insurance of the population existing in it, as long as its operation is viable.

3. In the territories where there are no Health Promotion Entities, the New EPS, will preferably assume the insurance or, failing that, those Health Promotion Entities with the capacity to assume the operation in those territories will do so. For the territorial reordering of affiliates during the transition, the New EPS or the existing EPS may assume the affiliates of Health Promotion Entities liquidated or incapable of serving their affiliates.

(Also: ‘Petro heard us a lot, but this was not translated into the text’: Gaviria).

4. The New EPS will hire the Comprehensive Resolute Primary Health Care Centers -CAPIRS, if necessary, or will assign the population affiliated to it in such Centers that are operating under the rules of the new Health System, in the subregions or municipalities prioritized in its implementation.

5. The New EPS will contribute to the organization of the provision of health services within the framework of social health insurance, will facilitate its infrastructure in each territory to organize and make the transition towards the organization of the territorial registration of the population and the structuring of the reference and counter-referral system, the formation of the CAPIRS Comprehensive and Resolutive Primary Health Care Centers, as well as the organization of integrated and comprehensive networks in the territories that the Ministry of Health and Social Protection and the authorities of the territorial level determine.

(Read: The ABCs of the Petro government’s health reform project).

6. From the effective date of this Law, There will be no authorization to enter the Health System for new Health Promotion Entities.

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